Proposed

WSR 13-02-028 Washington State Register, Issue 13-03
(b) Meet the applicable behavioral health agency licensure,
certification, administrative, personnel, and clinical
requirements in chapter 388-877 WAC, Behavioral health
services administrative requirements; and
(c) Have policies and procedures to support and implement
the:
(i) General requirements in chapter 388-877 WAC; and
(ii) Program-specific requirements in WAC 388-877B-
0500 through 388-877B-0550.
(3) An agency providing assessment services:
(a) Must review, evaluate, and document information
provided by the individual;
(b) May include information from external sources such
as family, support individuals, legal entities, courts, and
employers; and
(c) Is not required to meet the individual service plan
requirements in WAC 388-877-0620.
(4) An agency must maintain and provide a list of
resources, including self-help groups, and referral options
that can be used by staff members to refer an individual to
appropriate services.
(5) An agency providing ADATSA and DUI assessment
services must meet the additional standards in WAC 388-
877B-0550.
NEW SECTION
WAC 388-877B-0510 Assessment only services—
Agency staff requirements. In addition to meeting the
agency administrative and personnel requirements in WAC
388-877-0400 through 388-877-0530, an agency providing
assessment services must ensure:
(1) All chemical dependency assessment services are
provided by a chemical dependency professional (CDP).
(2) There is a designated clinical supervisor who:
(a) Is a CDP;
(b) Has documented competency in clinical supervision;
and
(c) Is responsible for monitoring the continued competency
of each CDP. The monitoring must include a semiannual
review of a sample of the clinical records kept by the
CDP.
(3) Each staff member that provides individual care has
a copy of an initial tuberculosis (TB) screen or test and any
subsequent screening or testing in their personnel file.
(4) All staff members are provided annual training on the
prevention and control of communicable disease, blood
borne pathogens, and TB. The training must be documented
in the personnel file.
NEW SECTION
WAC 38-877B-0530 Assessment only services—
Additional assessment standards. An individual must have
an assessment before receiving chemical dependency treatment
services. The purpose of the assessment is to gather
information to determine if a substances use disorder exists
and if there are services available to address the individual's
needs. In addition to the assessment requirements in WAC
388-877-0610, the assessment must include:
Proposed [ 50 ]
(1) A face-to-face diagnostic interview with the individual
in order to obtain, review, evaluate, and document the following:
(a) A history of the individual's involvement with alcohol
and other drugs, including:
(i) The type of substances used, including tobacco;
(ii) The route of administration;
(iii) The amount, frequency, and duration of use.
(b) A history of alcohol or other drug treatment or education.
(c) The individual self-assessment of use of alcohol and
other drugs.
(d) A history of relapse.
(e) A history of self-harm.
(f) A history of legal involvement.
(g) A statement regarding the provision of an HIV/AIDS
brief risk screen, and any referral made.
(2) A diagnostic assessment statement, including sufficient
information to determine the individual's diagnosis
using the:
(a) Diagnostic and Statistical Manual (DSM IV TR,
2000), as it existed on the effective date of this section; then
(b) DSM-5 as it exists when published and released in
2013, consistent with the purposes of this section. Information
regarding the publication date and release of the DSM-5
is posted on the American Psychiatric Association's public
website at www.DSM5.org.
(3) A placement decision, using patient placement criteria
(PPC) dimensions when the assessment indicates the individual
is in need of services.
(4) Evidence the individual was notified of the assessment
results and documentation of the treatment options provided
and the individual's choice. If the individual was not
notified of the results and advised of referral options, the reason
must be documented.
(5) Documented attempts to obtain the following information
when assessing youth:
(a) Parental and sibling use of alcohol and other drugs.
(b) A history of school assessments for learning disabilities
or other problems which may affect ability to understand
written materials.
(c) Past and present parent/guardian custodial status,
including running away and out-of-home placements.
(d) A history of emotional or psychological problems.
(e) A history of child or adolescent developmental problems.
(f) Ability of the youth's parent(s) or if applicable, legal
guardian, to participate in treatment.
Reviser's note: The section above appears as filed by the agency pursuant
to RCW 34.08.040; however, the reference to WAC 38-877B-0530 is
probably intended to be WAC 388-877B-0530.
NEW SECTION
WAC 388-877B-0540 Assessment only services—
Noncompliance reporting requirements. An agency providing
chemical dependency assessment services must report
noncompliance in all levels of care for an individual ordered
into chemical dependency treatment by a court or other
appropriate jurisdiction(s). An agency that fails to report
noncompliance for an individual under RCW 46.61 is subject